ATTACHMENT V Past Performance Questionnaire

ATTACHMENT V

PAST PERFORMANCE QUESTIONNAIRE FORM

SOLICITATION # SPE603-26-R-0518

DFSP TAMPA, FL

ATTACHMENT V

SOLICITATION SPE603-26-R-0518

DFSP TAMPAP, FL

CONTRACT PERFORMANCE ASSESSMENT FORM

GENERAL INFORMATION (Offeror to complete this portion)
Contractor Name (Name of Company or Organization)

Name of Point of Contact/Email Address

Phone Number

Original Contract Price

Name of Contractor

Contract Number

Period of Performance

Contract Dates

Contract Type

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Firm Fixed Price
Cost Reimbursement

Worked Performed as:

Complexity of Work

Prime Contractor
Sub-Contractor

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High
Medium
Low

Joint Venture

Brief Description of work/supplies furnished to Customer

CLIENT INFORMATION (Reference to complete this portion) Client Information

Name of Person Interviewed / Completing Questionnaire

Title

Email Address

Client’s Signature and Date

PLEASE RETURN THIS FORM WITH THE COMPLETED QUESTIONNAIRE TO:

(Contract Specialist: Candice Ekwoge, [email protected], 804-807-4948)

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

FOR OFFICIAL USE ONLY

GENERAL GUIDANCE FOR COMPLETING QUESTIONNAIRE

A. The questionnaire should be completed by the individual most knowledgeable of the Contractor’s day-to-day operations and overall condition of the services being rendered. However, that individual is encouraged to supplement their own knowledge of the Contractor’s performance with the judgment of others in their organization, as applicable.
B. Handwritten responses are sufficient. However, request they be legible. C. Please provide explanatory narratives for as many responses as possible. These narratives need not be lengthy, just descriptive. Space for narrative comments is included after each question and on the last page of the survey. If more space is needed, use the back of the survey or attach additional pages. D. As the survey relates to an ongoing source selection for the services identified in the cover letter, request that all information provided within the survey be safeguarded against unauthorized disclosure. E. The following description should be used as a guide in providing element ratings:

EXCEPTIONAL

Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

VERY GOOD

Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual